Individual
BRENDAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6311
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101022549
MI
207P00000X
Emergency Medicine Physician
Primary
DO192464
OR
390200000X
Student in an Organized Health Care Education/Training Program
5101022549
MI
Other
Enumeration date
06/06/2016
Last updated
01/31/2024
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